[Remote] Client Service Representative- Medical Billing

Note: The job is a remote job and is open to candidates in USA. Headlight is a company transforming mental healthcare, founded by psychiatrists. The Client Service Representative manages client communication and billing in healthcare, handling inquiries, overseeing EHR tasks, and coordinating with the billing team to ensure efficient operations and improved patient outcomes.

Responsibilities
• Answer Client Phone lines and SMS/texts on Five9 portal
• Manages Billing Emails and responds or distributes emails accordingly
• Responds to Clinician inquiries via emails, phones and EHR tasks
• Manages EHR tasks to Billing Team
• Resolution of client accounts
• Interact and provide eligibility and benefits to office staff, providers, and clients as requested
• Coordinate account status with providers, staff, patient account representatives and management as needed
• Verify eligibility for insurance and/or coverage changes for established clients
• Posts CPT Testing and Paperwork charges
• Research of insurance updates and changes
• Review aged receivables by insurance or provider or days, follow-up on outstanding claims up to and including appeals
• Provide account status with providers, staff, clients, and management as needed
• Review and edit client account information as needed
• Processes and Posts patient payments on balances due
• Correct data entry errors and reprocess claims for payment
• Correct Charge Entry error and resubmit corrected claims
• Identify accounts that require further collection efforts up to and including referral to collection agency
• Process written and verbal correspondence as related to collection efforts
• Initiate Client Payment Plans
• Post Adjustments to accounts accordingly
• Reports to Billing Managers on new insurance trends and new insurance carve-outs
• Reports to Billing Managers any insurance issues in efforts to improve quality
• Provide input to management and/or department meetings of ideas/suggestions that would enhance department productivity
• Participates in Billing Projects as assigned
• Perform other duties as may be assigned

Skills
• Possess a High School Diploma or GED/High School Equivalency
• Two years of previous experience in a medical/mental health billing office
• Knowledge of contract requirements, eligibility, and benefit information
• Knowledge of Medical Billing processes and procedures
• Experience with Excel, Word, and other computer programs, including but not limited to NextGen
• Ability to read, interpret and compile procedures and information related to job duties and responsibilities

Benefits
• Medical, Dental and Vision on the first of the month after employment
• Paid Vacation, Sick, and Holiday time
• Employee Assistance Program (EAP) provides confidential counseling services, resources, and support to help you navigate personal or professional challenges.
• 401(k) plan with company contribution
• Opportunity to work in a cutting-edge healthcare technology environment
• Professional development opportunities and training
• Collaborative and supportive work culture
• Impactful role contributing to the enhancement of patient care and healthcare processes

Company Overview
• Headlight is a mental health firm that aims to change the way mental health services are delivered. It was founded in 2020, and is headquartered in San Diego, California, USA, with a workforce of 201-500 employees. Its website is https://headlight.health.

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